Obesity, Physical Activity and Sedentary Behaviors in Children with an Autism Spectrum Disorder

Corvey, Kathryn; Menear, Kristi Sayers; Preskitt, Julie; Goldfarb, Samantha S.; Menachemi, Nir

doi:10.1007/s10995-015-1844-5

Cited by 70 publications

(57 citation statements)

References 24 publications

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“…Although our cohort was small and this could represent a chance finding, it does raise concerns about the risk for obesity in this population, and is consistent with other studies that have identified a higher prevalence of obesity in children with ASD (Chen et al 2010; Corvey et al 2016; Curtin et al 2010; Dreyer Gillette et al 2015). …”

Section: Discussionsupporting

confidence: 89%

Changes in Food Selectivity in Children with Autism Spectrum Disorder

Bandini

Curtin

Phillips

et al. 2016

J Autism Dev Disord

168

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Food selectivity is a common problem in children with autism spectrum disorder (ASD) and has an adverse impact on nutrient adequacy and family mealtimes. Despite recent research in this area, few studies have addressed whether food selectivity present in children with ASD persists into adolescence. In this study, we assessed food selectivity in 18 children with ASD at two time points (mean age = 6.8 and 13.2 years), and examined changes in food selectivity. While food refusal improved overall, we did not observe an increase in food repertoire (number of unique foods eaten). These findings support the need for interventions early in childhood to increase variety and promote healthy eating among children with ASD.

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Section: Discussionsupporting

confidence: 89%

Changes in Food Selectivity in Children with Autism Spectrum Disorder

Bandini

Curtin

Phillips

et al. 2016

J Autism Dev Disord

168

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“…The elevated obesity prevalence based on nationally representative samples in children with ASD compared with those without the condition has been previously reported by our group 10 and others 9,18,24,25,35 as well as in school-based and clinical samples. 8,[26][27][28]36 Chen et al reported an obesity prevalence of 21.1% among 10-17-year-olds in the 2003 round of NSCH, similar to our estimates, and consistent with a leveling off in prevalence trends over time seen in other nationally representative samples of US children.…”

Section: Discussionsupporting

confidence: 78%

“…Children with ASD often exhibit selective eating, frequently resulting in low intakes of fruits and vegetables with ASD and high intakes of calorically dense foods. [14][15][16][17] As youth age, they are more likely to have access to more energy-dense snacks and less engagement in physical activity compared with the peers without ASD, 18 and their physical activity levels decline with age. 19,20 Parents of children with ASD report using television for its calming effect, 21 which may contribute to high levels of sedentary behavior.…”

mentioning

confidence: 99%

“…25 In addition, using NSCH 2011-2012, but including a broader age range of children 6-17 years, Corvey et al reported that the observed elevation in obesity prevalence disappeared after accounting for comorbid disorders and medication use. 18 The prevalence of obesity has also been estimated from clinical samples. Using their common registry protocol and measured heights and weights, the Autism Speaks Autism Treatment Network (ATN) estimated obesity prevalence in children aged 2-17 years from 19 sites in the United States and Canada between 2008 and 2013.…”

mentioning

confidence: 99%

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The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder

et al. 2017

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Background: We sought to assess the association between age and the prevalence of obesity among children with and without autism spectrum disorder (ASD) in the 2011-2012 National Survey of Children's Health.Methods: Analyses were restricted to 43,777 children, ages 10-17, with valid measures of parent-reported weight, height, and ASD status. Exploratory analyses describe the impact of sex, race/ethnicity, and household income on the relationship between age and obesity in ASD.Results: Although the overall prevalence of obesity among children with ASD was significantly ( p < 0.001) higher than among children without ASD (23.1% vs. 14.1%, 95% confidence interval for difference 3.6 to 14.4), child age significantly ( p = 0.035) modified this difference. In a multivariable logistic regression analysis, adjusted for sex, race/ethnicity, and household income, the odds of obesity among children with ASD compared with children without ASD increased monotonically from ages 10 to 17 years. This pattern arose due to a consistently high prevalence of obesity among children with ASD and a decline in prevalence with advancing age among children without ASD. These findings were replicated using a propensity score analysis. Exploratory analyses suggested that the age-related change in obesity disparity between children with and without ASD may be further modified by sex, race/ethnicity, and household income.Conclusions: The patterns of prevalence observed with increasing age among children with and without ASD were unexpected. A better understanding of the etiological and maintenance factors for obesity in youth with ASD is needed to develop interventions tailored to the specific needs of these children.

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“…Fifteen studies were published between 2010 and 2016 9,24–37 . Four studies were case-control 24,27,31,33 and eleven studies were cross-section 9,25,26,28–30,32,34–37 . The studies encompassed a total of 49,937,078 participants and 1,045,538 individuals with ASD.…”

Section: Resultsmentioning

confidence: 99%

Association among obesity, overweight and autism spectrum disorder: a systematic review and meta-analysis

Zheng

Zhang

et al. 2017

Sci Rep

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Obesity, overweight and autism spectrum disorder (ASD) remain serious public health problems. Although lots of studies have recently explored the association among obesity, overweight and ASD, the findings are inconsistent. Thus, we conducted a meta-analysis of epidemiological studies to examine the association among obesity, overweight and ASD. PubMed, Embase, and the Cochrane Library were used for literature searches to identify eligible studies published in English before November 15, 2016. Relevant studies estimating the association among obesity, overweight and ASD were included. Fifteen studies encompassing 49,937,078 participants and 1,045,538 individuals with ASD were included in this study. A random effects model was chosen to synthesize the effect sizes of individual studies. The prevalence of obesity was significantly higher in individuals with ASD than in controls (OR = 1.84, 95% confidence interval [CI]: 1.37–2.48, P < 0.001). However, the prevalence of overweight in individuals with ASD was not significantly different from that in controls (OR = 1.07, 95% CI: 0.83–1.38, P = 0.62). Both sensitivity analysis and publication bias testing revealed that the findings were robust. The meta-analysis showed a significant association between obesity and ASD. However, no significant association was identified between overweight and ASD.

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Obesity, Physical Activity and Sedentary Behaviors in Children with an Autism Spectrum Disorder

Cited by 70 publications

References 24 publications

Changes in Food Selectivity in Children with Autism Spectrum Disorder

Changes in Food Selectivity in Children with Autism Spectrum Disorder

The Effect of Age on the Prevalence of Obesity among US Youth with Autism Spectrum Disorder

Association among obesity, overweight and autism spectrum disorder: a systematic review and meta-analysis

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